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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1256586



Case Details

VAERS ID: 1256586 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-21
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Balance disorder, COVID-19, Chills, Cough, Influenza like illness, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Daily vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: Codeine
Diagnostic Lab Data: As indicated COVID-19 Rapid Test was given by the facility.
CDC Split Type:

Write-up: My wife has been sick for a few days with a slight fever, chills, weakness and cough. We figured she may have caught the Flu. Today she woke up and had no balance with the other symptoms listed. They went over her symptoms with her and gave her a rapid COVID test , according to their test she was found to be POSITIVE for COVID-19. Just can''t understand this as she received her vaccination on the 7th.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1256586


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